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1821188095
DALE ARTHUR TOMMERVIK
APO, AE
NPI
1821188095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: WA PT00000836)
Enumeration Date
2006-10-16
Last Update Date
2008-04-20
Business Address
Mr. DALE ARTHUR TOMMERVIK PT
USAHC-SFT CMR 457
APO, AE 09033
Phone number: 49972-196-6561
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Mailing Address
Mr. DALE ARTHUR TOMMERVIK PT
CMR 475 BOX 375
APO, AE 09033
Phone number:
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